Provider Demographics
NPI:1598488439
Name:BDNA HOME MAKER AND COMPANION LLC
Entity Type:Organization
Organization Name:BDNA HOME MAKER AND COMPANION LLC
Other - Org Name:BDNA HOMEMAKER AND COMPANION, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:YEDELMYS
Authorized Official - Middle Name:
Authorized Official - Last Name:BAEZ CAZOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-675-0417
Mailing Address - Street 1:5700 SW 94TH PL
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33173-1534
Mailing Address - Country:US
Mailing Address - Phone:786-675-0417
Mailing Address - Fax:
Practice Address - Street 1:5700 SW 94TH PL
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33173-1534
Practice Address - Country:US
Practice Address - Phone:786-675-0417
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BDNA LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-09-26
Last Update Date:2024-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care